21D2293315 CLIA NUMBER - WALGREENS #18337

Laboratory Demographics

  • CLIA Code: 21D2293315
  • Facility Name: WALGREENS #18337
  • Facility Address: 3700 FALLS RD
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 410 467-7004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YEWLSOW FEREDE
  • NPI Number: 1376067074
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293315
LAB Type Pharmacy
Facility Name WALGREENS #18337
Street 3700 FALLS RD
City BALTIMORE
State MD
ZIP 21211
Phone 410 467-7004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director YEWLSOW FEREDE

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This page was last updated on: 3/20/2025